Feto-Maternal Outcome after Trial of Vaginal Delivery in Women Having the History of Previous Caesarean Section: A Cross-Sectional Study in Pakistan

Abstract

Aim: To determine the fetus and maternal outcome on the trial of vaginal delivery after a previous single Caesarean Section (CS). Study design: A cross-sectional study Place and Duration: This study was conducted at Bolan Medical Complex Hospital Quetta from January 2021 to December 2021 Methodology: A total of 108 cases were incorporated in the study who had a previous single CS. Patients' vital signs, fetal cardiac activity, pain and tenderness of the lower abdomen, and fetal distress were observed extensively during the labor. Data was collected with pre-designed Performa, and written informed consent was obtained on a consent form. The hospital committee was given authorization, and the data was analyzed for outcomes. Results: A total of71 patients (65.7%) had a successful vaginal delivery, while 37 (34.3%) required a repeat emergency cesarean section. Out of 71 vaginal deliveries, 47 (66.2%) were between the ages of 19 and 30 years, while 24 (33.8%) were between 31 and 45 years. Out of 37 instances, 22 (59.5 %) were between the ages of 19 and 30 years, while 15 (40.5 %) were between 31 and 45 years. The distribution of cases according to fetal distress in emergency cesarean section patients showed that 8 cases (21.6%) experienced fetal distress, and 29 (78.4%) did not develop any fetal complication. Conclusion: This study demonstrates the higher frequency of fetal distress in CS than vaginal delivery. Pregnant patients should be encouraged to have vaginal deliveries to reduce future morbidity related to CS. Keywords: Caesarean Section, Emergency cesarean delivery, Feto-maternal, vaginal delivery